Program Integrity Fraud Investigator

Job Description:

Program Integrity Fraud Investigator

Description

Job Posting Closes at 11:59PM on:
06/12/25
Division:
Business and Finance Division
Management Level:
Individual Contributor
Scheduled Weekly Hours:
40
Benefit Eligibility:
This position is eligible for Standard Benefits which includes dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, and tuition reimbursement.

Description:

If you're enthusiastic about researching and investigating program fraud, value integrity, and thrive in a collaborative environment, the Fraud Investigator role with the Program Integrity team offers a dynamic opportunity. This position is ideal for those seeking a balance between meaningful work and personal life, with a variety of responsibilities that engage both analytical and interpersonal skills.

The Program Fraud Investigator is responsible for Investigating suspected Welfare Fraud and Intentional Program Violations (IPVs) by gathering, identifying, and maintaining the evidence necessary for prosecution and administrative disqualification hearings. The person in this role Investigates allegations of program abuse in all state and Federal human service eligibility programs by gathering, identifying and maintaining information and evidence necessary for administrative hearings and prosecution. The Fraud Investigator also implements disqualification penalties.

We are seeking a highly skilled and adaptable professional to join our team. The ideal candidate will possess outstanding communication and organizational abilities, coupled with a strong aptitude for multitasking. Key responsibilities include managing multiple priorities, adhering to deadlines, and interpreting Colorado Revised Statutes, as well as federal and state laws and regulations. The role demands handling sensitive and confidential information with the utmost discretion.

The successful candidate will thrive in a dynamic, fast-paced environment, demonstrating resilience and flexibility in response to evolving priorities and program rule changes. This role provides a significant opportunity for a passionate professional to grow and excel in investigative work.

SCHEDULE:

This position will have a hybrid work schedule both in office and remotely. Please note that during the training period needed for this position, you will be required to be on-site.

COMPENSATION:

Hiring Range: $30.00 - $32.00 USD Hourly

Compensation will be determined based on education, experience, and skills.

BENEFITS:

Benefits include dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, tuition reimbursement, flexible schedules, remote work options and more. Click here for our Total Rewards summary.

ESSENTIAL DUTIES:

TheFraud Investigatorwill:

• Research, track and investigate allegations of welfare fraud.
  • Conduct extensive research across multiple database systems.
  • Gather,identify,and maintainthe evidence necessary for administrative action or prosecution of welfare fraud.
  • Reviewall pertinent case files and information to determine scope and method of investigation needed.

• Interview program clients, relatives, neighbors, acquaintances, employers, etc. through home and field visits when necessary to secure information and evidence pertinent to theinvestigation.
  • Obtainand reviewrecords and documents maintained by financial institutions,employers, landlords, andothergovernmental agencies.
  • Conductinternal investigations as directed bymanagement.
  • Review, research, and interpretColorado Revised Statutes, Federal and state laws and regulations.
  • Useindependent judgment to determine severity of offense and if criminal or administrative remedies will be sought.

• Write a detailed investigative report summarizing the scope and conclusion of the investigation.
  • Manage and track deadlines on all open and closed investigations.
  • Preparedetailed state level hearing packets. Prepareand file detailed District Attorney (DA) case filings.
  • Ensurequality of investigation.

• Testify at administrative or judicialproceedings,acting as an expert or advisory witness. Implement and impose intentional program violation (IPV) disqualifications for individuals found guilty through an administrative or criminal proceeding.

• Other duties and responsibilities as assigned.

Knowledge, skills, and abilities that lead to success in this role include:

Time Management & Organization → Efficiently Manage Time and Stay Organized

• Prioritization & Adapt to Changing Needs → Prioritize Tasks and Adapt to Evolving Demands
• Manage Multiple Projects Simultaneously → Oversee Several Projects at Once
• Strong Sense of Integrity → Uphold High Ethical Standards
• Excellent Interpersonal Communication → Exceptional Communication Skills in Interpersonal Interactions
• Critical Thinking → Strong Analytical and Problem-Solving Abilities

QUALIFICATIONS:

Research shows that women and other underrepresented and historically marginalized groups tend to apply only when they check every box in the posting. If you are reading this and hesitating to click “apply” for that reason, we encourage you to go for it! A true passion and excitement for making an impact is just as important as work experience.

Minimal Qualifications :

• Bachelor’s degree, preferably in Social Work, Criminal Justice, or a related field and
• 1 year of work-related experience.
• Note an equivalent combination of education and experience is acceptable.

Preferred Knowledge, Skills and Abilities:

• Expertise in research and investigative work
• Experience with CBMS
• Exceptional written and verbal communication skills
• Strong ability to manage time effectively

ADDITIONAL JOB INFORMATION:

• Offer of employment contingent upon successful completion of criminal history, motor vehicle report, education verification, and/or references. Criminalhistory mustnotinclude butnotlimitedto convictions fortheft, forgery, counterfeiting, crimes against a person, or other related charges.
• Please note that supplemental questions requiring a written response will serve as a writing sample.
• Reference Checks are required if requested by the Hiring manager.
• CSS FP, and HS FP, and fraud screening are department specifics requests in Human Services.
• CJIS certification will be required post hire.
• All Jefferson County Employees must apply through their internal profile.
• In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.

APPLICATION:

Qualified applicants are encouraged to apply immediately. All applicants must submit an online employment application by 11:59PM on the posted cut-off date. Follow this link to apply now: Jefferson County Colorado Career Opportunities

A resume and cover letter submitted with your application are encouraged but will not substitute for the information requested on the application. Applications are reviewed for minimum qualifications listed in the qualifications section of the job bulletin, and applicants are contacted directly by the hiring team if selected. To view the status of your application, please log into your candidate portal .

For more details on the recruitment process, please visit: https://www.jeffco.us/1860/FAQs

Questions? Contact the Jefferson County Recruitment Team at 303-271-8420 or CareerTalent@Jeffco.us

ADDITIONAL JOB INFORMATION:

• Offer of employment contingent upon successful completion of criminal history, motor vehicle report, education verification, and/or references. Criminalhistory mustnotinclude butnotlimitedto convictions fortheft, forgery, counterfeiting, crimes against a person, or other related charges.
• Please note that supplemental questions requiring a written response will serve as a writing sample.
• Reference Checks are required if requested by the Hiring manager.
• CSS FP, and HS FP, and fraud screening are department specifics requests in Human Services.
• CJIS certification will be required post hire.
• Current Jefferson County employees must apply through their employee profile in Workday.
• In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.

APPLICATION:

Qualified applicants are encouraged to apply immediately. All applicants must submit an online employment application by 11:59PM on the posted cut-off date. Follow this link to apply now: Jefferson County Colorado Career Opportunities

A resume and cover letter submitted with your application is encouraged but will not substitute for the information requested on the application. Applications are reviewed for minimum qualifications listed in the qualifications section of the job bulletin, and applicants are contacted directly by the hiring team if selected. To view the status of your application, please log into your candidate portal .

For more details on the recruitment process, please visit: https://www.jeffco.us/1860/FAQs

Questions? Contact the Jefferson County Recruitment Team at 303-271-8420 or CareerTalent@Jeffco.us

Education:
Bachelor's Degree
Experience:
Work Experience: Minimum one year

Certifications:

Languages:

Category:
Health & Human Services